Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.93 / $557.03 / $608.44	Professional		$481.93	$557.03	$608.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $504.38 / $504.38 / $621.22	Professional		$504.38	$504.38	$621.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.50 / $507.00 / $518.54	Facility		$356.50	$507.00	$518.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.52 / $723.55 / $1,245.97	Professional		$485.52	$723.55	$1,245.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.47 / $747.52 / $977.57	Professional		$579.47	$747.52	$977.57
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.66 / $639.75 / $1,162.53	Professional		$434.66	$639.75	$1,162.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $503.24 / $666.39 / $818.30	Professional		$503.24	$666.39	$818.30